Enedina Gracia, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Seminole, TX
NPI 1366149684 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1366149684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71864 (NM)
- Practice address
- 209 NW 8TH St
Seminole, TX 79360-3447 - Phone
- (432) 758-5811
- Fax
- (866) 554-1165
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seminole Hospital District of Gaines County Texas
Practice addresses (Care Compare)
209 NW 8TH St
Seminole, TX 79360-3447
Hospital & facility affiliations
- Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703002989 | TX | Practitioner - Nurse Practitioner | 1153780598 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71864 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Hospital District of Gaines County Texas | Current |
Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Current |
Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients |
Locations
1004 Hobbs Hwy
Ste 4
Seminole, TX 79360
Phone (432) 758-4777
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71864 | NM | Yes |
Addresses
Primary practice location
209 NW 8TH St
Seminole, TX 79360-3447
Mailing address
2210 W Marland St
Hobbs, NM 88240-8641
Phone (575) 441-3103
Other providers in Seminole, TX
- Gaines Care Pharmacy LLC
- Samba Shiva V V V Prasad Ganji
- Tommie J'Lynn Garcia
- Gilbert G Sayegh MD, PA
- GQ Chiropractic PC Corporation
- Edgar Alexander Hernandez Parra
- Otilia Jimenez
- Misty L. Johnson
- JP Letellier MD PA
- Kathy Moore
All providers in Seminole, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.